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DISTRICT COURT OF MARYLAND FOR
Located at Telephone
Case No.
NOTE: Respondent will be served a copy of this completed document. Petitioner does not need to give an address if doing so risks further harm.
PETITION FOR PROTECTION/PEACE ORDER
CONTINUATION SHEET
MDEC counties only: If this submission contains Restricted Information (confidential by statute, rule or court
order) you must file a Notice Regarding Restricted Information Pursuant to Rule 20-201.1 (form MDJ-008) with
this submission and check the Restricted Information box on this form.
DC-DV-PO-001C (Rev. 04/2022)
☐ Mark this box if this form contains Restricted Information.
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Completed 21 April 2022

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